| NPI | 1588619142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 057021) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX L5916) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2022-07-20 |