| NPI | 1356632624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 49331) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 49331) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 66201-20) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2022-03-29 |