| NPI | 1568752954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD 00019806) |
| Additional Taxonomies | 1744R1102X Specialist, Research Study |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |