| NPI | 1891055612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IA 45206) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 45206) |
| 207RH0000X Internal Medicine, Hematology (Licence: IA 45206) | |
| Enumeration Date | 2012-05-26 |
| Last Update Date | 2022-10-01 |