| NPI | 1003133448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0056478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10036751) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX BP20047675) | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2021-03-14 |