| NPI | 1609210285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX R7920) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10047128) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2023-03-04 |