| NPI | 1689036923 |
|---|---|
| Former Name | PHILLIP DOUGLAS KNOUSE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 22233-875) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.149823) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2024-02-28 |