| NPI | 1972926988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO DR.0057824) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0057824) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2025-04-16 |