| NPI | 1407804040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 50887) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 60238069) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 103605) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2021-11-03 |