| NPI | 1972735207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 64971) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 51460) |
| 208M00000X Hospitalist (Licence: TX R1972) | |
| 207R00000X Internal Medicine (Licence: TX R1972) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2020-06-28 |