| NPI | 1235134339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301066472) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 066472) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MT 168210) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2026-03-25 |