| NPI | 1407378870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301512019) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112821) |
| 207RH0000X Internal Medicine, Hematology (Licence: OH 35.148474) | |
| 207RH0000X Internal Medicine, Hematology (Licence: MI 4301512019) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.148474) | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2024-08-21 |