| NPI | 1679593966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 29169) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 29169) |
| 207RH0000X Internal Medicine, Hematology (Licence: SC 29169) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2009-00650) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: SC 29169) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-10-20 |