| NPI | 1326659558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME180248) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME180248) |
| 207R00000X Internal Medicine (Licence: OH 57.250295) | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2026-09-14 |