| NPI | 1447545520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 11060894-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-41807) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2021-12-13 |