| NPI | 1568921625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MA 292596) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 292596) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2026-03-25 |