| NPI | 1750722260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX S0939) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102654) |
| 207R00000X Internal Medicine (Licence: OH 35 128232) | |
| 207RH0000X Internal Medicine, Hematology (Licence: TX S0939) | |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2024-03-25 |