| NPI | 1356737563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: TX R5475) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX R5475) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2022-06-23 |