| NPI | 1023343357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX P7801) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10034497) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2017-04-12 |