| NPI | 1124172697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: UT 8366221-1205) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MI 4301092057) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: UT 836621-1205) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2016-10-10 |