| NPI | 1396035556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NM MD2018-0664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2014-00380) |
| 207R00000X Internal Medicine (Licence: NM MD2018-0664) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX q3447) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2024-10-29 |