| NPI | 1407949944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME147873) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX L9741) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-12-03 |