| NPI | 1184799256 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX L0112) | 
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX L0112) | 
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NH EL08779) | |
| Enumeration Date | 2006-11-22 | 
| Last Update Date | 2022-03-16 |