| NPI | 1548315435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: WA MD60894938) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NC 2014-01641) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NH EL31176) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2024-06-19 |