| NPI | 1114319423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A163688) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A163688) |
| 207R00000X Internal Medicine (Licence: CA A163688) | |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2026-01-09 |