| NPI | 1801877501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 73531) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: LA MD017596) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2023-04-06 |