| NPI | 1992902803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD60150925) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID M-12401) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2023-08-23 |