| NPI | 1255334496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 31184) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX H4558) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX H4558) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2015-08-31 |