| NPI | 1679686661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 064241) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 200400941) |
| 207RH0000X Internal Medicine, Hematology (Licence: NC 2004-00941) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2021-03-09 |