| NPI | 1548298656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A55762) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A55762) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2023-11-27 |