| NPI | 1548225048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101029485) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101029485) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2023-01-09 |