| NPI | 1255630505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 90596) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.131033) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2026-07-16 |