| NPI | 1427339928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: IA MD-47327) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198738) |
| 207R00000X Internal Medicine (Licence: IA MD-47327) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: WI 67098) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: IA MD-47327) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: MN 65543) | |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2020-08-04 |