| NPI | 1649278870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 44136-20) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301064127) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-11 |