| NPI | 1992736367 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA G72444) | 
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CA G72444) | 
| Enumeration Date | 2006-07-05 | 
| Last Update Date | 2018-08-21 |