| NPI | 1326492430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 69562) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 69562) |
| 2085R0001X Radiology, Radiation Oncology (Licence: WI 69562) | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2023-07-07 |