| NPI | 1710182605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 51570) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 83907) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101245663) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 57230) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2024-01-29 |