| NPI | 1366860553 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD197450) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD197450) | 
| Enumeration Date | 2014-04-03 | 
| Last Update Date | 2025-06-02 |