| NPI | 1992930879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX P2888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 250906) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2017-09-05 |