| NPI | 1306041900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 63106) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10025711) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX BP10025711) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2024-07-19 |