| NPI | 1356584262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: AZ 72487) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: MN 55578) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2024-04-15 |