| NPI | 1578902243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: MA 282652) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: SC 35964) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2021-03-19 |