| NPI | 1407875982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA A53159) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MT 141060) |
| 207RH0000X Internal Medicine Hematology (Licence: MT 141060) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: MT 141060) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-04-10 |