| NPI | 1194110585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: OR MD1841019) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD184109) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2022-05-26 |