| NPI | 1811212491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: ID M-17639) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID M-17639) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A103718) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD220243) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD61651880) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2025-10-11 |