| NPI | 1568750032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA C181620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 249290) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2022-08-30 |