| NPI | 1245229137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00046134) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: WA MD00046134) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2010-10-13 |