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 |