| NPI | 1942437520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301116495) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301116495) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2015008168) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2020-02-25 |