| NPI | 1811082175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 025283) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CT 025283) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 025283) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-02-25 |