| NPI | 1992817613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A96232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2005-0075) |
| 207R00000X Internal Medicine (Licence: CA A96232) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-11-28 |