| NPI | 1720098064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX U8467) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 42135) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-10-04 |