| NPI | 1679890594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 69967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 069967) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2018-04-23 |