| NPI | 1730475351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX R3941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 26907) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2023-12-08 |