| NPI | 1053775437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A155067) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CA A155067) |
| 207R00000X Internal Medicine (Licence: CA A155067) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2026-04-02 |