| NPI | 1790171239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX R5520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R5520) |
| 208M00000X Hospitalist (Licence: TX R5520) | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2023-06-28 |