| NPI | 1699064089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: NY 299522) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: NY 29522) |
| 207RH0000X Internal Medicine Hematology (Licence: MN 55907) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: TN 57742) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: MN 55907) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2019-10-11 |