| NPI | 1699919456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX P3284) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0034932) |
| 207R00000X Internal Medicine (Licence: TX P3284) | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2020-08-14 |