| NPI | 1083271985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101288288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D94032) |
| Enumeration Date | 2019-05-26 |
| Last Update Date | 2026-07-02 |