| NPI | 1013905512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA OS006196L) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 043422) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2011-05-31 |