| NPI | 1992792402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX J8421) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX J8421) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2023-12-19 |