| NPI | 1982051306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 68553) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD477143) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2023-07-27 |