| NPI | 1376962795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: TX S8029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S8029) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX S8029) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2022-12-22 |