| NPI | 1801850573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 34246) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A77404) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: LA MD15005R) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-10-02 |