| NPI | 1184930430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD61073860) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 284454) |
| 207RH0000X Internal Medicine, Hematology (Licence: WA MD61073860) | |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2023-01-12 |