| NPI | 1124548284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AK 216923) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX T3929) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2024-06-14 |