| NPI | 1568431849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D88494) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 61207-20) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: IN 01050742A) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2019-11-06 |