| NPI | 1780769588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00028682) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00028682) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2014-09-23 |