NPI | 1740277219 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00013202) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD00013202) |
Enumeration Date | 2005-09-30 |
Last Update Date | 2020-12-03 |