| NPI | 1811916661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI MD7581) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: RI MD7581) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: RI MD7581) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-06-16 |