| NPI | 1164581732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: WI 82902) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G56181) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 82902) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2025-09-26 |