| NPI | 1952806259 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NH 32070) | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 32070) | 
| Enumeration Date | 2018-03-28 | 
| Last Update Date | 2024-08-13 |