| NPI | 1639480106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 44443) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301096646) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 077696) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2024-02-01 |