| NPI | 1861567562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD60552621) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D64931) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D64931) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2016-01-13 |