| NPI | 1518058502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 96051) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 201701689) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101238722) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2026-01-14 |