| NPI | 1295706679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO R9471) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-30958) |
| 174400000X Specialist (Licence: WA MD60417668) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2018-04-16 |