| NPI | 1750778510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 73202) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R8294) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2023-10-25 |