NPI | 1801971635 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00015308) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00015308) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2011-10-26 |