| NPI | 1417384694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: UT 8702756-1252) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 8702756-1252) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2023-01-24 |