| NPI | 1700867330 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX J0459) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX J0459) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2023-05-11 |