| NPI | 1275532970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NM 84-208) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NH 14350) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: VT 042-0011750) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2019-08-12 |