| NPI | 1699741306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2011002612) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: KS 04-28103) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2022-01-25 |