| NPI | 1689726010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX 45237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 45237) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2021-11-10 |