| NPI | 1316146871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX P1375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 231278) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 231278) | |
| 207R00000X Internal Medicine (Licence: TX P1375) | |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2011-12-13 |