| NPI | 1417078221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: UT 5711697-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 5711697-1205) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2021-10-16 |