| NPI | 1487932398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD61372698) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014039433) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2014039433) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2014039433) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2023-05-24 |