| NPI | 1750585345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A120904) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX M9110) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2016-08-03 |