| NPI | 1710086152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN MD29629) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN MD29629) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-12-10 |