| NPI | 1285990382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: WA MD61143237) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: NC 2015-01800) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2021-04-21 |