| NPI | 1871906230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 100977) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD467659) |
| 207R00000X Internal Medicine (Licence: MA 259937) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2024-07-12 |