| NPI | 1558308114 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD169734) | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD169734) | 
| Enumeration Date | 2006-06-01 | 
| Last Update Date | 2018-01-08 |