NPI | 1063703809 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD60459476) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60459476) |
207RH0000X Internal Medicine, Hematology (Licence: WA MD60459476) | |
Enumeration Date | 2011-04-27 |
Last Update Date | 2019-02-20 |