| NPI | 1265411359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MT 41936) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 41936) |
| 207R00000X Internal Medicine (Licence: IA 34338) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IA 34338) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: IA 34338) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2021-04-19 |