| NPI | 1992770069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA G55000) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: CA G55000) |
| 207RH0000X Internal Medicine Hematology (Licence: CA G55000) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2015-02-19 |