| NPI | 1356508501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX P7132) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: KS 0436856) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2023-08-07 |