| NPI | 1861783185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX PHYTEMP) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10039991) |
| 207RH0000X Internal Medicine, Hematology (Licence: NY 279093) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2021-10-04 |