| NPI | 1497835680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX T7874) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 02003326A) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 03025) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2022-09-13 |