| NPI | 1821084815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NV 14582) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD26336) |
| 207R00000X Internal Medicine (Licence: NV 14582) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NV 14582) | |
| 207RH0000X Internal Medicine, Hematology (Licence: NV 14582) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2013-01-25 |