| NPI | 1184654584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101043732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101043732) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2024-08-27 |