| NPI | 1184734501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD 00048618) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD 00048618) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-09-13 |