| NPI | 1316903768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME55276) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NV 17168) |
| 207RH0000X Internal Medicine, Hematology (Licence: FL ME55276) | |
| 207RH0000X Internal Medicine, Hematology (Licence: OR MD202391) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2026-01-30 |