| NPI | 1518924323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: CA C137304) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: KY 35172) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2023-08-15 |