| NPI | 1578556098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: FL ME56669) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: FL ME56669) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2022-04-29 |