| NPI | 1508033465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: OR MD163370) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR LL17367) |
| 207R00000X Internal Medicine (Licence: OR MD163370) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: OR MD163370) | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2020-06-30 |