| NPI | 1669633897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AZ 006924) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX N9156) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2020-09-08 |