| NPI | 1962780536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: SC 87724) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 50414) |
| 207R00000X Internal Medicine (Licence: AZ 50414) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MT217976) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 87724) | |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2026-06-16 |