| NPI | 1629148762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD213839) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: SC 16828) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-04-26 |