| NPI | 1205368644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: TX 48638) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX BP10058614) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2025-08-18 |