| NPI | 1861675167 |
|---|---|
| Professional Name | N/A N/A |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 234737) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 234737) |
| 207R00000X Internal Medicine (Licence: MA 234737) | |
| 207R00000X Internal Medicine (Licence: MI 4301091259) | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2026-05-20 |