| NPI | 1578586418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MT MED-PHYS-LIC-10938) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MT 10938) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: WY 7614A) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2025-07-28 |