| NPI | 1376805457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX R8082) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R8082) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2018-10-17 |