| NPI | 1588195127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A198112) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.138569) |
| 207RH0000X Internal Medicine, Hematology (Licence: CA 198112) | |
| 207R00000X Internal Medicine (Licence: CA A198112) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CA 198112) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2026-05-01 |