| NPI | 1609024710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD60888363) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2017-02503) |
| 207R00000X Internal Medicine (Licence: PR 27,125-R) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2025-02-05 |