| NPI | 1174920953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: WA TR60984741) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA TR60984741) |
| Enumeration Date | 2014-11-22 |
| Last Update Date | 2020-09-04 |