| NPI | 1790218451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ R76035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R76035) |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2020-06-03 |