| NPI | 1558453977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.120481) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN MD28240) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-12-04 |