| NPI | 1437196433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA C206694) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MI 4301069026) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 44198) | |
| 207R00000X Internal Medicine (Licence: MI 4301069026) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 062977) | |
| 207RH0000X Internal Medicine, Hematology (Licence: CA C206694) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301069026) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2026-01-26 |