| NPI | 1023011624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX L9273) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L9273) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2010-08-18 |