| NPI | 1225072648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD61171493) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: WA MD61171493) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD61171493) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-02-17 |