| NPI | 1396078291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX U5870) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 41162) |
| 207R00000X Internal Medicine (Licence: MO 2009020450) | |
| 208000000X Pediatrics (Licence: MO 2009020450) | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2024-04-30 |