| NPI | 1962595090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX N1771) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 09867R) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX N1771) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-03-20 |