| NPI | 1679523625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: TX L1085) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX L1085) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: AL DO-986) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2022-06-22 |