| NPI | 1124552435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: PA OS022886) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT017577) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2023-09-13 |