| NPI | 1033158472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: TX M1704) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M1704) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: TX M1704) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-02-25 |