| NPI | 1952359234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL 54930) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME54930) |
| 207R00000X Internal Medicine (Licence: FL 54930) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME54930) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-03-15 |