| NPI | 1659635159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO DR.0058204) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2024-01345) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2024-06-27 |