| NPI | 1457319931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 031083) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 22907) |
| 174400000X Specialist (Licence: GA 031083) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 031083) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2025-11-21 |