| NPI | 1366785586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OK 43104) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 291U00000X) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2026-04-10 |