NPI | 1538426622 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX R5809) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R5809) |
207R00000X Internal Medicine (Licence: NY 280959) | |
207RX0202X Internal Medicine Medical Oncology (Licence: TX R5809) | |
Enumeration Date | 2012-04-13 |
Last Update Date | 2022-06-02 |