| NPI | 1700849346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AZ 53903) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: TN 30542) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: TX G9127) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2017-03-17 |