| NPI | 1477545655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35-093244) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX L8251) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 47253) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2025-02-20 |