NPI | 1538258314 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ Z185726) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00021124) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD00021124) | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2016-05-02 |