| NPI | 1912959594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME90807) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2008000497) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-02-28 |