| NPI | 1396729414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 35266) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 9500800) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: SC 35266) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 9500800) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2023-12-15 |