| NPI | 1487697686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX k0434) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: TX K0434) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2024-09-19 |