| NPI | 1548371289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E12161) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 32345) |
| 174400000X Specialist (Licence: NY 2275741) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2026-07-06 |