| NPI | 1790768638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA G171199) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101250426) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2021-08-14 |