| NPI | 1578508222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX L6294) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX L6294) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2011-08-25 |