| NPI | 1053775650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101274985) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S4579) |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2023-08-10 |