| NPI | 1811950843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NH 9781) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NH 9781) |
| 207RH0000X Internal Medicine, Hematology (Licence: VT 0420009373) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: VT 0420009373) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2012-03-29 |