| NPI | 1376527739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IL 036-110116) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2004-00793) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2004-00793) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2021-12-17 |