| NPI | 1740572528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 66981) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301 098 220) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ 64964) | |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2024-08-20 |