| NPI | 1942628458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101268640) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101268640) |
| 207RH0000X Internal Medicine, Hematology (Licence: VA 0101268640) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2022-02-24 |