| NPI | 1366440455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD439889) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101032256) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: ID M13436) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2016-11-04 |