| NPI | 1760426050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: HI DOS-1278) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX L6395) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2021-03-23 |