| NPI | 1922086487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 236121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200101572) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2023-03-07 |