| NPI | 1972271138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: ZZ 108750) |
| Additional Taxonomies | 208D00000X General Practice (Licence: ZZ 108750) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |