| NPI | 1588293708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA 20606) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 20606) |
| 207RH0000X Internal Medicine, Hematology (Licence: CA 20606) | |
| 207R00000X Internal Medicine (Licence: CA 20606) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2026-09-09 |