| NPI | 1770801862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA A142507) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: CA A142507) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2023-09-20 |