| NPI | 1215981832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: ID M-8750) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00042019) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2014-05-16 |