| NPI | 1629426705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX S1130) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 281089) |
| 207R00000X Internal Medicine (Licence: TX S1130) | |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2024-08-23 |