| NPI | 1245594639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX R7873) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R7873) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2018-10-24 |