| NPI | 1770922726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 48333) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01090039A) |
| 208M00000X Hospitalist (Licence: KY 48333) | |
| 207R00000X Internal Medicine (Licence: KY 48333) | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2024-12-02 |