| NPI | 1568800605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 270147) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256367) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2019-05-22 |