| NPI | 1174547590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX L7129) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX L7129) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 49434) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-06-08 |