| NPI | 1316900020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX G3711) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NM MD2005-0751) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-02-26 |