| NPI | 1861501694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: UT 379443-1205) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: ID M9050) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-10-10 |