| NPI | 1831292861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OR OR MD18334) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA WA MD00032902) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2022-02-04 |