| NPI | 1447279112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD00016940) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AK 7145) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2016-03-21 |