| NPI | 1295976827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 10694833-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092683) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2019-02-27 |