| NPI | 1073931762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD60779037) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60779037) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2020-05-08 |