| NPI | 1700862745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 49999) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MA 49999) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2017-09-26 |