| NPI | 1710188867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC E-3575) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2018-02072) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA MD.200623) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 200623) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2024-03-13 |