| NPI | 1295271526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA FE60707645) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ZZ 016733) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2018-07-25 |