| NPI | 1285630210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: AZ 28499) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 28499) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2021-03-30 |