| NPI | 1942647177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX V7698) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 265263) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2025-08-04 |