| NPI | 1649955170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2023019621) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A209206) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2026-06-11 |