| NPI | 1457323404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME138482) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 18663) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: ID M12049) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2022-10-05 |