| NPI | 1588633564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: MN 40093) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: IA 32099) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2023-09-18 |