| NPI | 1164809232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: NC 2018-00411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2018-00411) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2024-07-11 |