| NPI | 1861843963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VT 042-0015734) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03832) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VT 042.0015734) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2022-08-04 |