| NPI | 1861482853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A95030) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00039979) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2007-07-16 |