| NPI | 1053375675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO DR.0042434) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 42434) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2022-12-07 |