| NPI | 1265478697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00046940) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 80174) |
| 207RH0000X Internal Medicine, Hematology (Licence: WA MD00046940) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 1252) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2024-05-09 |