| NPI | 1659596179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: OR MD28267) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA A87148) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-08-05 |