| NPI | 1669867024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX T8476) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018023695) |
| 208M00000X Hospitalist (Licence: MO 2018023695) | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2022-07-12 |