| NPI | 1538136718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MI 4301041932) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: MI 4301041932) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2014-10-30 |