| NPI | 1467480160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: MA 238143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 057675) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: GA 057675) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2023-09-19 |