| NPI | 1295778330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 40867) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MS 21153) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-07-10 |