| NPI | 1295718815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 25368) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME55170) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2025-01-29 |