| NPI | 1750353348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101236232) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 38458) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: HI MD-9727) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101236232) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 45015) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 38458) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2025-07-17 |