| NPI | 1922118280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MO 2012003219) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IL 036-066106) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: WV 24692) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: ID M-11165) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-09-07 |