| NPI | 1457391773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WY 17248A) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A910160) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A91016) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2024-08-05 |