| NPI | 1528228921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX Q5531) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DC MD038702) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2023-03-02 |