| NPI | 1477558716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL MD36755) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G140901) |
| 207R00000X Internal Medicine (Licence: FL ME36755) | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2025-12-20 |