| NPI | 1659312627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA G19771) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: FL ME120037) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: OH 35087628) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-02-13 |