| NPI | 1366589343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101273491) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: VA 0101273491) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2006018428) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-04-15 |