| NPI | 1346426566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: FL ME119608) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: NH 15552) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: TX N1136) | |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2020-11-11 |