| NPI | 1417165796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2015040949) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0063597) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: KS 0438857) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-02-09 |