| NPI | 1457799454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: SC 35823) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL35823) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 35823) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2022-03-02 |