| NPI | 1093936809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX U2669) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NE 24125) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ 48815) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-09-08 |