| NPI | 1225065766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 070866) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: OK 5013) |
| 207R00000X Internal Medicine (Licence: TX M3995) | |
| 207R00000X Internal Medicine (Licence: MI 5101015568) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2021-06-30 |