| NPI | 1649220948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 4981600-1205) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 4981600-1205) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-09 |