| NPI | 1396709895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2005002905) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: KS 04-31660) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2005002905) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-31660) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2024-10-10 |