| NPI | 1043346877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 9700730) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 97-00730) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2022-05-09 |