| NPI | 1780660209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 34443) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 100995) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2023-08-15 |