| NPI | 1528100948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WV 21423) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 37144) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: ME MD23392) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 62961) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2021-12-28 |