| NPI | 1598760274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.059610) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101045128) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2026-04-07 |