| NPI | 1710142070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD604427579) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: NH 15409) | |
| 207R00000X Internal Medicine (Licence: WA MD604427579) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2014-06-02 |