| NPI | 1912950411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: ME MD20900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9300793) |
| 207R00000X Internal Medicine (Licence: ME MD20900) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 9300793) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00031318) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NH 18137) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2024-01-04 |