| NPI | 1114469731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD228980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A165902) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2026-09-01 |