| NPI | 1760464705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX P8997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 71183) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 71183) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD432386) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2014-08-18 |