| NPI | 1710924451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD153740) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00040124) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-08-07 |