| NPI | 1619112042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 102770) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 248829) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2026-05-04 |