| NPI | 1851417158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: UT 9584031-1205) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 9584031-1205) |
| 207RH0000X Internal Medicine, Hematology (Licence: UT 9584031-1205) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2017-03-30 |