| NPI | 1528487907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 67591) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 67591) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 67591) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2025-05-07 |