| NPI | 1033176946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX F4206) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX F4206) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2012-02-23 |