| NPI | 1811346695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX S4710) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10057150) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2024-02-01 |