| NPI | 1679629323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301511889) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX N4191) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-08-18 |