| NPI | 1366757775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: TX K9752) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NY 257976) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 257976) | |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2023-03-01 |