| NPI | 1396712311 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 56014) | 
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MA 60552) | 
| 207RH0000X Internal Medicine, Hematology (Licence: CT 56014) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 60552) | |
| Enumeration Date | 2006-03-08 | 
| Last Update Date | 2017-02-10 |