| NPI | 1407847965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 205829) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 205829) |
| 207RH0000X Internal Medicine, Hematology (Licence: MA 205829) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2012-10-23 |