| NPI | 1407891641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD60827333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60827333) |
| 207R00000X Internal Medicine (Licence: AK 143046) | |
| 207RH0000X Internal Medicine, Hematology (Licence: WA MD60827333) | |
| 207RH0000X Internal Medicine, Hematology (Licence: AK 143046) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G57545) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: AK 143046) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-12-02 |