| NPI | 1841291929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ 41477) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NV 11456) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 41477) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2012-01-09 |