| NPI | 1770503054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: WA MD60437383) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60437383) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2014-06-06 |