| NPI | 1043667413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ 65586) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10056274) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2023-01-02 |