| NPI | 1649216342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0067691) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 043952) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD438212) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D67691) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2023-02-16 |