| NPI | 1922869817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: CO TDP.0041942) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: ZZ 09169478) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-03-05 |