| NPI | 1548268592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MS 13747) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: AR E-0595) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 20435) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2023-12-07 |