| NPI | 1508052127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 067704) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D0023451) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 067704) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2013-07-16 |