| NPI | 1255383162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 41532) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 41532) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0057545) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2025-03-18 |