| NPI | 1649287095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NM MD2018-0133) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A86359) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2025-04-02 |