| NPI | 1619068012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX L3202) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX L3202) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2021-01-04 |