| NPI | 1396054912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2023045080) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX R8973) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2024-07-09 |