| NPI | 1639215932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD61081628) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61081628) |
| 207RH0000X Internal Medicine, Hematology (Licence: VA MD61081628) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 35830) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-07-21 |