| NPI | 1700094497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX N0968) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N0968) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX AB2218077-5353) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2024-01-31 |