| NPI | 1083095210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX T0527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015018106) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2021-05-20 |