| NPI | 1629269774 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX M9018) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000041364) | 
| 208M00000X Hospitalist (Licence: TN MD0000041364) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX M9018) | |
| Enumeration Date | 2007-08-05 | 
| Last Update Date | 2025-09-08 |