| NPI | 1639430622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX R0339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251898) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2021-12-16 |