| NPI | 1851543037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CT 72067) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 72067) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 260836) | |
| Enumeration Date | 2008-10-19 |
| Last Update Date | 2022-07-20 |