| NPI | 1013152974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301096447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301096447) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2020-10-26 |