| NPI | 1356527543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY TP236) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY TP236) |
| 207R00000X Internal Medicine (Licence: KY TP236) | |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2017-12-06 |