| NPI | 1487684148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA C55373) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CA C55373) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C55373) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID M6841) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD197149) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-04-17 |