| NPI | 1912053364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: IA 42025) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01062358A) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: KY 43104) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: LA MD.205676) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2025-08-25 |