| NPI | 1376105759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 110856) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 110856) |
| 207R00000X Internal Medicine (Licence: MA 279916) | |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2026-08-20 |