| NPI | 1780692939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C169492) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME 75284) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CA C169492) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2024-07-16 |