| NPI | 1417193228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 4739223-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 4739223-1205) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2017-07-12 |