| NPI | 1982023388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: MD D83090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 273620) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2022-06-01 |