| NPI | 1609896273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 024325) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 24325) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-03-07 |