| NPI | 1649405549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35-126568) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0104120) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX P3845) | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2026-07-09 |