| NPI | 1679719249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 004131-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N5776) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX N5776) | |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2013-07-09 |