| NPI | 1932301280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX 44221) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00028733) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2014-01-17 |