| NPI | 1700876992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CO 55253) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: NC 2008-00235) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: HI 10517) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: CO 55253) | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-11-18 |