| NPI | 1568455517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: TN 30271) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 30271) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2023-08-17 |