| NPI | 1083935878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MA 294342) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 294342) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 206611) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2026-04-29 |