| NPI | 1245601079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: WA OP61443198) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA 61443198) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2023-10-17 |