| NPI | 1518911734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 29078) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101274173) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-03-10 |