| NPI | 1164910519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 1016384) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1016384) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2026-02-10 |