| NPI | 1538315676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 32816) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054208) |
| 207R00000X Internal Medicine (Licence: TX Q2780) | |
| 207R00000X Internal Medicine (Licence: IA 39454) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX Q2780) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2018-10-03 |