| NPI | 1871837955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CT 069295) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: CT 029695) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-08-28 |