| NPI | 1295743730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: UT 9586855-1205) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: OR MD21496) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: WA MD00038184) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2016-02-02 |