| NPI | 1811090236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA OP00001721) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: WA OP00001721) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2026-06-17 |