| NPI | 1326054115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 46460) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008032274) |
| 207R00000X Internal Medicine (Licence: TX N3732) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-11-20 |