| NPI | 1114937844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA OS017678) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 1799) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CA 10801) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2025-05-28 |