| NPI | 1942267083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX 46720) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35087138) |
| 207R00000X Internal Medicine (Licence: UT 8586760-1205) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2019-04-19 |