| NPI | 1437211299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: UT 7758321-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 058771) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME MD26412) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 058771) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD446263) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2024-08-30 |