| NPI | 1326485202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 5101027128) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2021-01694) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2021-01694) | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2023-07-24 |