| NPI | 1245657592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OH 35.145285) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML60654966) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 65153) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA FE60449483) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2024-01-10 |