| NPI | 1669563771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: ND 8855) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2011001768) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 0435116) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-06-09 |