| NPI | 1578513842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 151632-1205) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: UT 151632-1205) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: UT 151632-1205) | |
| 207ZH0000X Pathology Hematology (Licence: UT 151632-1205) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: UT 151632-1205) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2008-05-07 |