| NPI | 1356356810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: TX R8378) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2003-0144) |
| 207R00000X Internal Medicine (Licence: TX R8378) | |
| 207RH0000X Internal Medicine, Hematology (Licence: FL ME109770) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2018-10-23 |