| NPI | 1932765682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MA 283993) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 283993) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2025-09-15 |