| NPI | 1194008235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX T2811) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098209) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301098209) | |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2022-12-12 |