| NPI | 1518227735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: TX Q1781) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10043067) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2018-03-17 |