| NPI | 1720233018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 69611) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 69611) |
| 207R00000X Internal Medicine (Licence: FL ME120878) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 31179) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO CDR.0002408) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME120878) | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2023-01-10 |