| NPI | 1104038249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: HI MD-23173) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2010-00391) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2013042940) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-11-14 |