| NPI | 1558512921 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: VA 0101256681)  | 
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101256681)  | 
| Enumeration Date | 2008-10-03 | 
| Last Update Date | 2023-08-10 |