| NPI | 1780789958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00040571) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD196540) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2023-12-17 |