| NPI | 1003122573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL MD31391) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 78651) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 31391) | |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2026-04-28 |