NPI | 1477841682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX V1835) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA MD.207162) |
Enumeration Date | 2011-07-21 |
Last Update Date | 2025-08-27 |