| NPI | 1215123971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX R7364) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101250908) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 48715) | |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2025-10-02 |