| NPI | 1477643153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: SC Al30185) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO 23204) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-10-31 |