| NPI | 1407858244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: AL 18922) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: AL 18922) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2019-08-29 |