| NPI | 1689133423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MA 1018375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1018375) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 1018375) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2026-07-16 |