| NPI | 1811967243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: FL ME10088) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: FL ME100088) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: MA 220848) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2024-07-14 |