| NPI | 1457358749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD00035445) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD00035445) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00035445) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2024-09-06 |