| NPI | 1922198886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: WA MD00015198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00015198) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: WA MD00015198) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-10-05 |