| NPI | 1275055956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ND 22378) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125071518) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: SC 89411) | |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2025-07-30 |