| NPI | 1841298387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX M9245) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA MD.11861R) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: LA 11861R) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2014-11-25 |