| NPI | 1407893555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME109714) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35035340) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME109714) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35035340) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-11-06 |