| NPI | 1598941908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX N9677) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 001382) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2012-01-19 |