| NPI | 1891795001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX F6662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX F6662) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101254387) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD419017) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-06-23 |