| NPI | 1750546735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: MO 2022048626) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022048626) |
| 207RH0000X Internal Medicine Hematology (Licence: MO 2022048626) | |
| Enumeration Date | 2008-07-19 |
| Last Update Date | 2024-04-25 |