| NPI | 1710396486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX s3144) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 55668) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2023-02-02 |