| NPI | 1790710481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 39426) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: KY 39426) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 39426) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-10-21 |