| NPI | 1811956220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 111171) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 27390) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2026-04-02 |