| NPI | 1780741306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: ID M-13451) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA G26383) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2018-11-07 |