| NPI | 1801908702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD159938) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 57.012492) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00044911) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-03-19 |