| NPI | 1285710152 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL 21605) | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MT 161333) | 
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME105054) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME105054) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NH 21605) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CO CDRH.0062072) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 9701559) | |
| Enumeration Date | 2006-10-31 | 
| Last Update Date | 2025-08-05 |