| NPI | 1346484896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 201802469) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101245504) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME170871) | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2025-09-18 |