| NPI | 1104874916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL 77729) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME77729) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2022-02-07 |