| NPI | 1255383238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 5101009127) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101009127) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 5101009127) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2021-04-08 |