| NPI | 1417121716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2013-00837) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N8594) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2020-12-15 |