| NPI | 1245593474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2016-00511) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: IN 01096288A) |
| 207R00000X Internal Medicine (Licence: IL 125061353) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2025-09-04 |