| NPI | 1568622207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL OS16151) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: ND PT19062) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2022-10-31 |