| NPI | 1902859275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME117501) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301068939) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GU M-1820) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME117501) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2024-04-04 |