| NPI | 1790735686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: UT 173510-1205) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 173510-1205) |
| 207R00000X Internal Medicine (Licence: UT 173510-1205) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-11-10 |