| NPI | 1396713095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD00048643) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2003-0406) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD169632) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NM 2003-0406) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-01-15 |