| NPI | 1679069538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ 011203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101023946) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2024-09-27 |