| NPI | 1588630446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: WI 45760) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: WI 45760) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2020-01-02 |