| NPI | 1366736969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX R2439) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-9183) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2018-04-17 |