| NPI | 1699748707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G88137) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 32926) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX K0670) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2015-08-17 |