NPI | 1346551447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX R2571) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101250631) |
Enumeration Date | 2010-06-23 |
Last Update Date | 2025-02-25 |