| NPI | 1215139027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX N6522) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: LA MD.202370) |
| 207RH0000X Internal Medicine Hematology (Licence: TX N6522) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: TX N6522) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2024-05-29 |