| NPI | 1407015944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA C175410) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C175410) |
| 207R00000X Internal Medicine (Licence: MA 242419) | |
| 207RH0000X Internal Medicine, Hematology (Licence: CA C175410) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 242419) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2024-04-28 |