| NPI | 1174029052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO CDR.0006743) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA MD-48538) |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2026-04-24 |