| NPI | 1417950494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 029603) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 029603) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 029603) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2018-12-12 |