| NPI | 1003432519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX W7441) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX W7441) |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2026-08-07 |