| NPI | 1639397631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NV 12246) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 12246) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2026-05-21 |