| NPI | 1285616359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX P2528) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: HI DOS-1014) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2016-01-28 |