| NPI | 1417903154 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO DR.0044213)  | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 44213)  | 
| 207RH0000X Internal Medicine, Hematology (Licence: CO DR.0044213)  | |
| Enumeration Date | 2006-05-25 | 
| Last Update Date | 2016-03-30 |