| NPI | 1649767799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2024018592) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2024018592) |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2025-04-17 |