| NPI | 1356491179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL OS17394) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA OS013866) |
| 207R00000X Internal Medicine (Licence: PA OS013866) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA os013866) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2025-09-28 |