| NPI | 1760738355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX Q0464) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q0464) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: TX Q0464) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP1-0040195) | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2023-10-04 |