| NPI | 1093787541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: UT 274407-1205) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: UT 274407-1205) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 108812) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-25846) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2020-01-24 |