| NPI | 1821088063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NM 2004-0726) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NM MD2004-0726) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2018-09-07 |