| NPI | 1679746481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 53914) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT191404) |
| 207R00000X Internal Medicine (Licence: MN 53914) | |
| Enumeration Date | 2008-04-12 |
| Last Update Date | 2019-11-05 |