| NPI | 1376798108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301099848) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P0405) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2022-08-26 |