| NPI | 1710149752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C169739) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: TX 42260) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2025-03-25 |