| 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 |