| NPI | 1548414097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: UT 7152572-1205) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A108733) |
| 207R00000X Internal Medicine (Licence: UT 7152572-1205) | |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2021-08-16 |