| NPI | 1699986190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2021-01297) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME137314) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2022-01-05 |