| NPI | 1780711531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME99101) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 59980) |
| 174400000X Specialist (Licence: FL ME99101) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-02-20 |