| NPI | 1386806131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX R8827) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 60869) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A109650) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2019-03-19 |