| NPI | 1376781443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: MD D39979) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MD D39979) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: DC 18454) | |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2021-04-20 |