| NPI | 1043366750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO 45860) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D59858) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-09-06 |