| NPI | 1790057123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 56264) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: AZ 56264) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ 56264) | |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2022-03-04 |