| NPI | 1871816207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD61527860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.093864) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A114907) | |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2024-03-07 |