| NPI | 1700970894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 28471) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301057902) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-11-18 |