| NPI | 1578648374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NM MD2015-0783) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD00030791) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-11-29 |