| NPI | 1346701562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101286066) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101286066) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2025-08-28 |