| NPI | 1649213505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX F1484) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX F1484) |
| 207R00000X Internal Medicine (Licence: TX F1484) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-02-23 |