| NPI | 1962764209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 72810) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME141021) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2022-11-01 |