| NPI | 1518058163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: HI MD-21014) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: SD 2083) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: SD 74117) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-05-17 |