| NPI | 1740505007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C183871) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 1.055360) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 1.055360) | |
| 207RH0000X Internal Medicine, Hematology (Licence: CT 1.055360) | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2026-03-06 |