| NPI | 1548880503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA 70113878) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 70113878) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2026-07-14 |