| NPI | 1396776027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID M8989) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD60316942) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: ID M-8989) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-03-19 |