| NPI | 1699834051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: AZ 48384) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX J8417) |
| 208D00000X General Practice (Licence: TX J8417) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: SC AL 31249) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2015-06-25 |