| NPI | 1003376187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA 181976) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 11901347-1205) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2026-08-04 |