| NPI | 1891748331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00046000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD13720) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2015-07-31 |