| NPI | 1386867448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX N6130) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 77549) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: IN 01074895A) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-09-02 |