| NPI | 1821030206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIJA BAKRAC Credentialing 907-562-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2021-02-12 |