| NPI | 1083672000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 64731) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A83236) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A83236) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2018-11-13 |