| NPI | 1508094392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX Q0319) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT195239) |
| 207R00000X Internal Medicine (Licence: PA MD446435) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2017-11-30 |