| NPI | 1528069226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D41866) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WV 20263) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2023-12-28 |