| NPI | 1376645085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301095411) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: OH 35084578) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35084578) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2024-07-24 |