| NPI | 1124548284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX T3929) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-09613) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2022-11-29 |