| NPI | 1134186166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX M3964) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA MD.12610R) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX M3964) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2023-02-10 |