| NPI | 1992759096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME113142) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME113142) |
| 207ZP0104X Pathology, Chemical Pathology (Licence: FL ME113142) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2022-08-02 |