| NPI | 1124154448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD60557245) |
| Additional Taxonomies | 1744R1102X Specialist, Research Study (Licence: CA C52444) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C52444) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2023-02-15 |