| NPI | 1710920624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX F7833) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX F7833) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: TX F7833) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-02-03 |