| NPI | 1982648820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX G8995) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD60125712) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX G8995) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2024-02-21 |