| NPI | 1548262900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX F2145) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX F2145) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL OS3674) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: HI DOS-561) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2024-04-13 |