| NPI | 1861879348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: LA 000000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10052624) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2020-07-02 |