| NPI | 1144497322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 68050182-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 6805182-1205) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2021-08-19 |