| NPI | 1932367893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX M3964) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M9889) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2014-08-14 |