| NPI | 1154346963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX N3085) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX N3085) |
| 207R00000X Internal Medicine (Licence: FL ME89773) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-05-22 |