| NPI | 1245268838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME94705) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MT 102156) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MT 102156) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME94705) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2025-07-22 |