| NPI | 1376500280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: WA MD00047830) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: PA MD423960) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: WA MD00047830) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2011-04-01 |