| NPI | 1417111766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C159086) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: LA MD.203063) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CA C159086) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: ME 018735) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2024-02-10 |