| NPI | 1861417115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX N0035) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME73631) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX N0035) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME73631) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2012-04-02 |