| NPI | 1750344743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IA 31496) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-31496) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2025-02-05 |