| NPI | 1558311225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX N0396) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 056639) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2013-07-11 |