| NPI | 1659390755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: VA 0101235487) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: DC 036169) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2022-02-25 |