| NPI | 1295826014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: OR MD19268) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: OR MD19268) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-09-16 |