| NPI | 1144312547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MI 4301050925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301050925) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301050925) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-04-13 |