| NPI | 1932285731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00022980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00022980) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WA MD00022980) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2011-10-24 |