| NPI | 1861802332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID M-16442) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX R3985) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TX R3985) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2022-04-13 |