| NPI | 1194105312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 277012) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301513038) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2025-02-17 |