| NPI | 1841440674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 8259693-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101250522) |
| 207R00000X Internal Medicine (Licence: UT 8259693-1205) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2021-12-16 |