| NPI | 1124107032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 54797) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301086348) |
| 207R00000X Internal Medicine (Licence: TN 54797) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301086348) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-03-18 |