| NPI | 1659866093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DC MD500002421) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101288856) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2026-09-11 |