| NPI | 1750776910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AZ 61229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD467345) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: UT 12243243-1205) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: UT 12243243) | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2024-05-31 |