| NPI | 1417978651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CA C193782) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: WA MD60205278) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2024-12-03 |