| NPI | 1336370642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: LA MD.206170) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: TX R0323) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2020-08-12 |