| NPI | 1699096388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 69071) |
| Additional Taxonomies | 174400000X Specialist |
| 207R00000X Internal Medicine (Licence: FL 4288) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2025-09-02 |