| NPI | 1871974154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 82045) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-45076) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA MD-45076) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: IA MD-45076) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2023-10-06 |