| NPI | 1134255813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NH 19455) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 231707) |
| 207R00000X Internal Medicine (Licence: NH 19455) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 231707) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2019-04-22 |