| NPI | 1659767010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX T8560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021012213) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2021012213) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2022-11-07 |