| NPI | 1184689614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: TN 14781) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 14781) |
| 174400000X Specialist (Licence: TN MD14781) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2022-06-20 |