| NPI | 1366476319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: WI 50320) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: WA MD00041314) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-10-01 |