| NPI | 1902868789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A89506) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: GU MTL-2024-018) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME 90374) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: GU M-2453) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2024-08-18 |