| NPI | 1194794602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX L5591) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A 46248) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A46248) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2016-05-06 |