| NPI | 1518172782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: MN 54474) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MN 54474) |
| 207R00000X Internal Medicine (Licence: MI 4301085857) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: FL ME130023) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: MN 105420) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-14 |