| NPI | 1043839012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX U3795) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 7294) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2026-06-09 |