| NPI | 1033567409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX T5247) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX T5247) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP 10056843) | |
| 207R00000X Internal Medicine (Licence: TX T5247) | |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2022-08-10 |