| NPI | 1700907276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 66462) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX M9911) |
| 207R00000X Internal Medicine (Licence: TX M9911) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-08-01 |