| NPI | 1427361377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 57809) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 40765) |
| 207R00000X Internal Medicine (Licence: IA R-8784) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2020-08-18 |