| NPI | 1922254937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35-121226-S) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD60138577) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.121226) | |
| Enumeration Date | 2008-08-09 |
| Last Update Date | 2014-12-22 |