| NPI | 1356565501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D80149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 30940) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2025-04-30 |