| NPI | 1891747069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GU m001476) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD 00033258) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G20360) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2017-04-26 |