| NPI | 1588625099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 057094) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 47934) |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2021-03-09 |