| NPI | 1396972659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX S8945) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NV 15981) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2025-10-13 |