| NPI | 1487918702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: AR E-9269) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-9269) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2025-08-12 |