| NPI | 1124053285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: ND 5967) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 34155) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-02-15 |