| NPI | 1285164434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 290394) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272597) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-10-26 |