| NPI | 1972779551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: WI 2457) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: ND 22871) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: IL 036154874) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: MO 2021025575) | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2025-08-22 |