| NPI | 1659399624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME103254) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME103254) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL MD 29551) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2026-02-05 |