| NPI | 1447570304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD60384980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 390200000x) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2021-04-07 |