| NPI | 1669460366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME71970) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME71970) |
| 207RH0000X Internal Medicine, Hematology (Licence: FL ME71970) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2013-02-08 |