| NPI | 1457493967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: UT 7801558-1205) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CO 47737) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: UT 7801558) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2016-10-10 |