| NPI | 1679737969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX R2371) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E-8600) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2022-07-21 |