| NPI | 1881855948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2018-02157) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NC 2018-02157) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2018-02157) | |
| Enumeration Date | 2008-06-21 |
| Last Update Date | 2020-09-01 |