| NPI | 1134528185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2024-02871) |
| Additional Taxonomies | 1744R1102X Specialist, Research Study |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 12153450-1205) | |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2025-02-20 |