| NPI | 1437178746 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101271846) | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A82849) | 
| Enumeration Date | 2006-07-18 | 
| Last Update Date | 2021-08-02 |