| NPI | 1750324349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MT 9860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00039723) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00039723) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-04-04 |