| NPI | 1831187707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: ME MD25646) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NH 25075) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NH 25075) | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2025-04-24 |