| NPI | 1821110933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 47032) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301086134) |
| 207R00000X Internal Medicine (Licence: TN MD47032) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX N1881) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2022-03-23 |