| NPI | 1679689301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 69720) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 069720) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2026-06-01 |