| NPI | 1336307925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 269232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101251246) |
| 207R00000X Internal Medicine (Licence: MD D0076801) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D76801) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D76801) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2026-07-31 |