| NPI | 1699054924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 1015150) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI MD16121) |
| 207RH0000X Internal Medicine, Hematology (Licence: MA 1015150) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2023-08-03 |