| NPI | 1619101896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX P1186) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10034606) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: MN 76457) | |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2024-05-31 |