| NPI | 1699757211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ 26569) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 26569) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2021-10-14 |