| NPI | 1376833723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2022-00142) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NC 2022-00142) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2022-00142) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 277911) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2023-10-20 |