| NPI | 1457453599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX M0514) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 48004) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TX M0514) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2023-01-24 |