| NPI | 1992895510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: UT 345232-1205) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: UT 345232-1205) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-11-08 |