| NPI | 1265567242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NE 24180) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 15910) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX N0144) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2018-09-10 |