| NPI | 1518965607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2005-01680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2005-01680) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2024-07-15 |