| NPI | 1922396753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: VA 0101262567) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198609) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2021-09-21 |