| NPI | 1407896947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101241203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101241203) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 33807) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 010241203) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: WV 36421) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2026-05-28 |