| NPI | 1689178907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: UT 11405516-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 11405516-1205) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2021-11-23 |