| NPI | 1043521313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N8018) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N8018) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TX N8018) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2021-06-11 |