| NPI | 1912118647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2010-01037) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0102209761) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0102209761) | |
| 207RH0000X Internal Medicine, Hematology (Licence: VA 0102209761) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 254036) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2026-08-14 |