| NPI | 1033293196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: UT 8654924-1205) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2002-01109) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 8654924-1205) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2016-10-10 |