| NPI | 1790858942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A111199) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A111199) |
| 207R00000X Internal Medicine (Licence: MA 230363) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2024-04-15 |