| NPI | 1730403072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 51775) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MS 23969) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2017-11-08 |