| NPI | 1235332925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C132350) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: WA MD60875417) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD60875417) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2021-08-03 |