| NPI | 1124097498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX J7001) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: OK 24832) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2024-10-28 |