| NPI | 1114015989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101260661) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN MD45198) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-02-28 |