| NPI | 1699975540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX N6372) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: TX N6372) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2024-04-05 |