| NPI | 1861498271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA C55385) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301059972) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 224776) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301059972) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-12-10 |