| NPI | 1528269917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME118024) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME118024) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX M1362) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2025-10-23 |