| NPI | 1952528762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME120309) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL MD.37461) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 248042) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME120309) | |
| 207RH0000X Internal Medicine, Hematology (Licence: FL ME120309) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2026-02-24 |