| NPI | 1891131488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX S0333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10047204) |
| 207R00000X Internal Medicine (Licence: TX S0333) | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2022-01-18 |