| NPI | 1124029376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 74718) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI MD11666) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 74718) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2025-03-10 |