| NPI | 1386978757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX V6211) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V6211) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TX V6211) | |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2025-11-03 |