| NPI | 1184642282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: TX G6211) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: NM 88-219) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-03-26 |