| NPI | 1073621819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD 60001467) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60001467) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-06-09 |