| NPI | 1841284429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 23266-20) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD488904C) |
| 174400000X Specialist (Licence: VA 0101054148) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0062448) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CO DR.0062448) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2025-07-08 |