| NPI | 1154354967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD203674) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO CDR.0004435) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00045104) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2024-11-01 |