| NPI | 1841733102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX R4773) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX 45576) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2021-02-01 |