| NPI | 1710917364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: KY 39510) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KY 39510) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-06-04 |