| NPI | 1508980194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: WA MD00043566) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00043566) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2009-10-23 |