| NPI | 1043245889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GU M-1925) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 18789) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-03-19 |