| NPI | 1497140537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CA A172103) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60848580) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD60848580) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2024-04-28 |