| NPI | 1417926015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2023028881) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: KS 0424120) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2023-08-11 |