| NPI | 1841637477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX Q9404) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX Q0404) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10047479) | |
| 207R00000X Internal Medicine (Licence: TX Q9404) | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2022-08-10 |