| NPI | 1528281375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: VA 0101270357) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101270357) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: UT 6963091-1205) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2022-02-24 |