| NPI | 1952362394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IA MD-20734) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA 20734) |
| 207R00000X Internal Medicine (Licence: IA MD-20734) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2025-11-18 |