| NPI | 1689757775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: WA MD00026289) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00026289) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00026289) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-03-27 |