| NPI | 1730110669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2006-01327) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: ND 8863) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 39216) | |
| 207R00000X Internal Medicine (Licence: NC 2006-01327) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-04-27 |