| NPI | 1104924232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 43310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 43310) |
| 207R00000X Internal Medicine (Licence: VA 0101238184) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101238184) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-01-05 |