| NPI | 1760042089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2022036641) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022036641) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2025-07-14 |