| NPI | 1649217969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 56792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 56792) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D54563) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2022-03-30 |