| NPI | 1205130218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 28268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 28268) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX P8073) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NM MD-2016-0623) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TX P8073) | |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2021-04-21 |