| NPI | 1508961319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL 89137) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2018033152) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GU M-2288) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101281530) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2018033152) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2024-09-26 |