| NPI | 1477991933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: CT 69842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 266709) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2021-12-16 |