| NPI | 1376076828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: OR MD214431) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD214431) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: OR MD214431) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2023-08-17 |