| NPI | 1770924102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A168183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT204019) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2022-12-30 |