| NPI | 1770842155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX Q3795) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0060484) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CO DR.0060484) | |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2024-04-04 |