| NPI | 1770044778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD491702) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0025066) |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2026-01-21 |