| NPI | 1942521216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D83711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0083711) |
| 207R00000X Internal Medicine (Licence: MA 253783) | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2018-11-26 |