| NPI | 1558387746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD00012915) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA md0001915) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2010-07-21 |