| NPI | 1669662136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX S3830) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007017361) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2022-08-09 |