| NPI | 1679968218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A177323) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A177323) |
| 207R00000X Internal Medicine (Licence: PA MT210079) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2024-04-26 |