| NPI | 1780663880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: AL 00018764) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 85069) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2025-01-30 |