| NPI | 1477846715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX R8922) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R8922) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D72295) | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2021-12-07 |