| NPI | 1891744652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 46134) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 49785) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2026-09-02 |