| NPI | 1013009422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX N8409) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN MD13476) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2019-01-08 |