| NPI | 1972615102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX M4650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M4650) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2023-03-08 |