| NPI | 1245670173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX R5829) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E-13876) |
| 207R00000X Internal Medicine (Licence: MI 4301102761) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2025-10-06 |