| NPI | 1902957244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX N3664) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX N3664) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 65842) | |
| 208M00000X Hospitalist (Licence: TX N3664) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2023-12-15 |