| NPI | 1063787315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 9355821-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 9355821-1205) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: UT 9355821-1205) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2024-10-24 |