| NPI | 1881705838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 55107) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: DE C1-0025452) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 137196-1) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: DE C1-0025452) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-11-01 |