| NPI | 1992761050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME158526) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D47390) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2022-12-13 |