| NPI | 1972541357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX L6477) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX L6477) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-02-21 |