| NPI | 1174518450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: TX M1929) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX M1929) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2010-08-18 |