| NPI | 1710171061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D71401) |
| Additional Taxonomies | 174400000X Specialist (Licence: DC MD035033) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TX S0972) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2021-08-23 |