| NPI | 1548255334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME109647) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME109647) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV TMP2722) | |
| Enumeration Date | 2005-09-17 |
| Last Update Date | 2022-07-21 |