| NPI | 1790928729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME117454) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A107151) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2024-03-27 |