| NPI | 1649286204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD24320) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR MD24320) |
| 207RH0000X Internal Medicine, Hematology (Licence: OR MD24320) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-12-14 |