| NPI | 1548524911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 262290) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-252922) |
| 207RH0000X Internal Medicine, Hematology (Licence: MA 262290) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2017-08-23 |