| NPI | 1578512190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: UT 178034-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 178034-1205) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: UT 178034-1205) | |
| 207ZH0000X Pathology Hematology (Licence: UT 178034-1205) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2021-11-16 |