| NPI | 1780674036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: OR DO150591) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: VA 0102201143) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2021-08-05 |