| NPI | 1801826490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2025041928) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SD 5570) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 19186) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2025-10-08 |