| NPI | 1366471260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA 486598) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 32237) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 71338) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 19539) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2026-01-14 |