| NPI | 1235369307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 72208) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 74616) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX Q3885) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E-14666) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 254016) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MT 99899) | |
| 207R00000X Internal Medicine (Licence: NY 254016) | |
| 207R00000X Internal Medicine (Licence: TN 72208) | |
| 207RH0000X Internal Medicine, Hematology (Licence: TN 72208) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TX Q3885) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2024-10-21 |