| NPI | 1003159054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX S2626) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 285849) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2023-05-03 |