| NPI | 1679069538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL OS19424) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ 011203) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2025-09-17 |