| NPI | 1588610828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO DR.0044473) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: CO 44473) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2026-04-16 |