| NPI | 1629411558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD d81117) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D0081117) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2026-03-16 |