| NPI | 1972878122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 61527) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CT 61527) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2019-06-14 |