| NPI | 1447601059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: AL MD.38463) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068754) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2021-06-28 |