| NPI | 1255517561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX L7469) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01061129A) |
| 207R00000X Internal Medicine (Licence: IN 01061129) | |
| 207R00000X Internal Medicine (Licence: TX L7469) | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2014-08-15 |