| NPI | 1295174456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX T5233) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015016135) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 142277) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2023-08-23 |