| NPI | 1235369307 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 72208)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 254016)  | 
| 207R00000X Internal Medicine (Licence: TN 72208)  | |
| 207RH0000X Internal Medicine, Hematology (Licence: TN 72208)  | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 74616)  | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX Q3885)  | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E-14666)  | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 254016)  | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MT 99899)  | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TX Q3885)  | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 72208)  | |
| Enumeration Date | 2009-07-22 | 
| Last Update Date | 2025-06-06 |