| NPI | 1952765059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NM MD2024-0708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 36676) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 36676) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2024-08-13 |