| NPI | 1679536387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX K7627) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NM MD2005-0643) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-02-26 |