| NPI | 1679834329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX R7348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10043123) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TX R7348) | |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2024-11-12 |