| NPI | 1902026180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2012-00998) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301083453) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2012-00998) | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2021-06-03 |