| NPI | 1497706162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: WA MD00024072) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: ID M8193) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-05-18 |