| NPI | 1932804747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.153577) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: IL 125.082335) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2025-05-20 |