| NPI | 1831485077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 74582) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD482988) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036166811) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: IA 44102) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2026-08-06 |