| NPI | 1245288315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: FL 50627) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 50627) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: FL ME50627) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-10-19 |