| NPI | 1962497594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2014027664) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX M6151) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2014027664) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2023-06-12 |