| NPI | 1205060746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX Q7825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 18296) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2024-11-13 |