| NPI | 1508090754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A177673) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 47493) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX 47493) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TX 47493) | |
| Enumeration Date | 2009-05-03 |
| Last Update Date | 2022-09-22 |