| NPI | 1881751261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301082993) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MT 104098) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101039774) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01090612A) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MT 104098) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2023-08-08 |