| NPI | 1568727907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 89443) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 37042) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2021-12-08 |