| NPI | 1659997542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2021040464) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021040464) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2025-07-16 |