| NPI | 1902838964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 8758) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MS 19094) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: AR R-2983) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2017-11-16 |