| NPI | 1891871661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX M0600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M0600) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TX M0600) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2021-06-23 |